August 1973, Vol 132, No. 2 >

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ARTICLE | August 1973

Coronary Arteritis in Rheumatoid Arthritis

Armando Susmano, MD, FACP; Joseph J. Muenster, MD, FACP; Hushang Javid, MD; Richard A. Carleton, MD, FACP

Arch Intern Med. 1973;132(2):241-244. doi:10.1001/archinte.1973.03650080085016.

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The occurrence of cardiovascular lesions in individuals with rheumatoid arthritis has been recognized for many years.¹ Manifestations attributed to the rheumatoid process include valvular, myocardial, and pericardial lesions,^2-6 as well as systemic arteritis.^7,8 Arteritis of the coronary vessels has been found at autopsy in as many as 20% of the cases,⁹ but only rarely has this complication been diagnosed during life. The clinical diagnosis of acute myocardial infarction due to rheumatoid coronary arteritis was not reported until as recently as 1967,^10,11 although the pathological association had been previously recognized.^5,7,12

We describe the clinical and coronary cineangiographic features of a patient with rheumatoid coronary arteritis in whom angina pectoris was treated by a saphenous vein aortocoronary bypass.

Patient Summary A 35-year-old white woman was admitted to Rush-Presbyterian-St. Luke's Medical Center on May 9,1971. For several years, the patient had been experiencing oppressive precordial pain and

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Susmano A, Muenster JJ, Javid H, Carleton RA. Coronary Arteritis in Rheumatoid Arthritis. Arch Intern Med. 1973;132(2):241-244. doi:10.1001/archinte.1973.03650080085016.

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